Organization
MEDICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE E DY-GUILLAUME MD (PRESIDENT)
(718) 779-9599
Entity
Organization
Contact information
Practice address
8708 JUSTICE AVE, SUITE CS, ELMHURST, NY 11373-4575
(718) 779-9599
(718) 779-9579
Mailing address
8708 JUSTICE AVE, SUITE CS, ELMHURST, NY 11373-4575
(718) 779-9599
(718) 779-9579
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
210261
NY
207RI0200X
Infectious Disease Physician
Primary
201321
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03028379
—
NY
Enumeration date
05/27/2008
Last updated
11/04/2008
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